Organization
PROCARE RESPIRATORY & HOME MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEWAYNE HUTCHESON (PRESIDENT)
(912) 384-1211
Entity
Organization
Contact information
Practice address
511 PETERSON AVE S, DOUGLAS, GA 31533-5253
(912) 384-1211
(912) 384-1244
Mailing address
511 PETERSON AVE S, DOUGLAS, GA 31533-5253
(912) 384-1211
(912) 384-1244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00981285A
—
GA
05
—
00981285B
—
GA
Enumeration date
11/15/2006
Last updated
08/22/2020
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